| NPI | 1275013112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 112706) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NE 51393) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2022-03-28 |